Individual
DR. BRENT J RAMSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
0401413513
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
103920
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401413513
LICENSE NUMBER
VA
01
—
103920
LICENSE NUMBER
CA
01
—
12366116
CAQH NUMBER
—
Enumeration date
05/15/2012
Last updated
03/07/2023
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